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112 Alexandria Court Lot 5Davie Countv. NC Tax Parcel Rennrt Tuesday. November 29. 2016 WAKN1NG: Tff1h IS NUT A JUKVEY Parcel Information Parcel Number: H806OA0005 Township: Shady Grove NCPIN Number: 5789245396 Municipality: Account Number: 82517109 Census Tract: 37059-804 Listed Owner 1: HARVEL DWIGHT D Voting Precinct: EAST SHADY GROVE Mailing Address 1: 112 ALEXANDRIA COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 5 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 1.01 Elementary School Zone: SHADY GROVE Deed Date: 6/2001 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003750826 Soil Types: PaD,WeB,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY & Extra Building Value: FOreatuires Va ue: Land Value: Total Market Value: Total Assessed Value: F -a All datais provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to theDavie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or inability to use the GIS data provided by this website. ' DAVIE COUNTY HEALTH DEPARTMENT Jr- v Environmental Health Section td'3a P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT - Account #: 989900317 Tax PIN/EH #: 5789-24-5396.05 \.,- Billed To: Glory Home Builders Subdivision Info: Covington Creek Sect„ Lot # 5 Reference Name: Billy Joyner Location/Address: Alexandria Court -27006 Proposed Facility: Residence Property Size: 223x272'x345' **NOTE* iIss 1mpr2418 ent/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Types S;G #People #Bedrooms 2--> #Baths Dishwasher: — Garbage Disposal: Er Washing Machine: Elo'— Basement w/Plumbing: ❑ Basement/No Plumbing: Commercial Specification: Facility Type /'',,. OL#.People #People/Shift #Seats Industrial Waste: Lot Size Type Water Supply CW I V>Design Wastewater Flow (GPD) :3(jeo Site: New 3( Repair System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width g Rock Depth —JZ, Linear Ft.3CC Q� Other: 1 3l'5dAf2ii to J , jy3ST&-t— Uf-30S I C .G. -y►.J . Required Site Modifications/Conditions: VAX � 1S` C-F'F 176056. V' q lei` olEr Q20 L",.)4 IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** / 020P L-1-Z'u J()o x Tk--v IS Lzt) 41S � r 1po► � �JZ►' Lf o -A010`' )1--ZL4 1 is AlI0j. Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900317 Billed To: Glory Home Builders Reference Name: Billy Joyner Proposed Facility: Residence ATC Number: 2418 Tax PIN/EH #: 5789-24-5396.05 Subdivision Info: Covington Creek Sec.j,Lot # 5 Location/Address: Alexandria Court -27006 Property Size: 223'x272x345' AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .19 Sewage Tzeatment and Disposal Systems). THIS AUTHORIZATION FOR WASTE ER ON VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. 1 IDOSC, 1 rT 3 a1. Septic System Installed By: a 1 IdIr I L` Environmental Health Specialist's Signature: Date: floa DCHD 05/99 (Revised) f t C�G0 APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT 81 Davie County Health Department MAY -- 2000 Environmental Health SectSion P.O..Box 848/210 Hospital Street LVII Mocksville, NC 27028 (336) 751-8760 ***XWORZUPZ*** THIS APPLICATION CUM07 BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed fa r r Contact Person 4I Mailing Address /� / Home Phone City/State/ZIP -(r—/ ler" m O N 9 , / . L Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation 4-T�provement Permit/ATC ❑ Both 'CI 4. System to service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms �� # Bathrooms W iahwasher N arbage Disposal U-14ashing Machine I1 Basement/Plumbing U-Zasement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City ❑ Well 0 Community s. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9-N6 If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBM17TED by the client with THIS APPLICATION. i Property Dimensions: Tax Office PIN: S g9 �Y s3 9� Property Address: Road Name/to�cah ,s�Pr G �r, City/Zip Al-Laryll e, If in a Subdivision provide informaatttion as,!'ollows: Name: (f 00 i'kiiq 0 n L cc:' " Section: �_ Block: Lot:* : WRITE DIRECTIONS (from Mocksville) to PROPERTY: SOl S A/' A4 6 Sf Date Property Flagged: S— e`- P40 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitabi ity. DATE 1 r �U SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of a following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). I Revised DCHD (07/99) D \ry Site Revisit Charge Date(s): I Client Notification Date: I EHS: Account No. 3,12 Invoice No. /1-17/ ! - APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department D ! Environmental Health Section P.O. Box 848 ,JAN �� Mocksville, NC 27028 (704) 634-8760 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. &0 � L':S46 r,--, 1. Name to be Billed - 1+'/e ,-A t- S Contact Person Mailing Address �L� ) X / Home Phone City/State/Zip & U'liu Ce � � _ 2 706(( Business Phone C/ 7%L- 19/3,3Yl ' 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ite Evaluation (] Improvement Permit & ATC [ ] Both 1 4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ ] Other V� -*Z 10+ tut�,(yil 1 y�S �OnJ 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ ] Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify type # People #Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes If yes, what type? T 1 ZJI1.►; •t /'/_l1 t'J. „1 II. J'I l:d PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: qtr + &c, V&rc-C. WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 78`3 - - _ 4 ; 8 u b i ash id b o' C / dy4 pu C�-1.e Property Address: Road Dame 80! D r A 4 � m 1 — ILLS � S'Ic/fQ of ?0 1 City/Zip Z ?o o If in Subdivision provide information, as follows: Name: byiAa+"1 AJ reek, i Section: Lot #: This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized of the Davie County Health Department to enter upon above described property located in Davie County and owned cr'�AZQa Revised DCHD (06-96) all testing proces ws as nepessary to determine the site suitability. I1118 ,QE,1 AI,11/ BE IISEI) r0k WGtIVINC I10II$ SIZE PUN: DAVIE COUNTY HEALTH DEPARTMENT 7 Environmental Health Section SECTION_ LOT Soil/Site Evaluation APPLICANT'S NAME ib 6' DATE EVALUATED PROPOSED FACILITY ,�� PROPERTY SIZE e� SUBDIVISION Water Supply: On -Site Well Community, ROAD NAME _r(Q,Z Public L� Evaluation By: Auger Boring Pit i Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH ' Texture group Consistence r Structure r Mineralogy / " , HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: / LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01.90) EVALUATION BY: OTHER(S) PRESENT: Landscape Position R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineraloav 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 13 i� oo. vI � 7 GNORO a(, i 2�1 99 -Olt PROPOSED w HOUSE 00. \ �� 4 .43' - 2 Ta to \ N O i i i A? � \ \ N ?3' Op,, .�jV tiol �O o3 S)\ AIV